Paige Smart, LPC, LMHC

Paige Smart is a Licensed Professional Counselor (LPC) in Missouri and a Licensed Mental Health Counselor (LMHC) in Washington with six years of clinical experience. She works with adults facing problems such as depression, anxiety, mood disorders including bipolar symptoms, grief, and anger. She also helps people dealing with relationship and family difficulties, trauma and abuse, and issues related to addiction and compulsive behaviors.

Paige describes her work as a partnership. She starts by listening and learning about someone’s life, including biological, psychological, and social influences. That foundation guides which tools she brings into sessions. Expect straightforward discussion of what is causing distress and practical steps to reduce it.

Her toolbox includes cognitive behavioral techniques to change unhelpful thinking and behavior, mindfulness practices to increase present-moment awareness, and elements of dialectical behavior therapy to manage intense emotions. She also uses EMDR approaches when trauma memories are a central concern and motivational interviewing to build readiness for change.

In sessions she focuses on clear goals and skills people can use between meetings. She addresses communication problems, impulsivity, shame and guilt, abandonment concerns, and intimacy-related issues. She also works with people navigating BDSM, kink, and alternative sex culture who want nonjudgmental help sorting relationships and boundaries.

Paige has worked with veterans and people facing financial stressors, panic attacks, and compassion fatigue. Sessions are conducted in English and international clients are not accepted. Cost varies with location and sessions use a subscription that can be canceled at any time.

How Paige uses evidence-based approaches online